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患者男,91岁。因心悸、气促、不能行动及心前区不适就诊于我院。查体:T36℃,P42次/分,R26次/分,Bp140/60mmHg。呼吸急促,高枕卧位,口唇及甲床轻度紫钳。桶状胸,叩过清音,双肺闻多量湿干罗音,心界叩不出、心率42次/分,律齐,各瓣膜区未闻病理性杂音;腹平软,肝脾来及,双下肢轻度可凹性浮肿。实验室检查,除胸片示右肺全野呈大片密度增高阴影,心电图呈完全性房室传导阻滞(图1)外,血尿便常规、肝功
Male patient, 91 years old. Due to heart palpitations, shortness of breath, can not move and precordial discomfort visited our hospital. Physical examination: T36 ℃, P42 times / min, R26 beats / min, Bp140 / 60mmHg. Shortness of breath, high pillow position, lips and nail bed slightly red clamp. Barrel chest, knocking voiceless, lungs smell large amounts of wet and dry rales, heart knock knock, heart rate 42 beats / min, law Qi, the valve area is not heard pathological murmur; abdominal soft, liver and spleen and, Lower extremities may be slightly concave edema. Laboratory tests, in addition to chest radiograph showed a large area of the right lung showed increased density shadow, ECG showed complete atrioventricular block (Figure 1), hematuria is routine, liver function